Rode G, Revol P, Rossetti Y, Boisson D, Bartolomeo P
Université de Lyon, Université Lyon 1, Inserm UMR-S 534, Bron, France.
Neurology. 2007 Feb 6;68(6):432-7. doi: 10.1212/01.wnl.0000252936.54063.b0.
Subjects with hemispatial neglect often exhibit representational neglect: a failure to report details from the left side of mentally visualized images. This failure could reflect impaired ability to generate the left side of the mental image, or it could reflect failure to explore the left side of a normally generated mental image. When subjects with hemispatial neglect look at pictures or drawings, their attention tends to be drawn to objects on the right side, thereby aggravating their failure to explore the left side. If representational neglect represents a failure to explore the left side of a normally generated mental visual image, then it should be improved by blindfolding, which removes the attention-catching right-sided stimuli. However, if representational neglect represents a failure to generate the left side of the mental visual image, then blindfolding should have little impact on reporting of details of the image.
To determine which of these explanations is correct, we asked eight normal participants and eight brain-damaged patients with left representational neglect to imagine the map of France and to name as many towns as possible in 2 minutes. In different sessions, participants performed the task with eyes open or while blindfolded.
Normal participants mentioned more towns while blindfolded than with vision, thus suggesting a distracting effect of visual details on mental imagery. Patients with neglect, however, showed no appreciable effect of blindfolding on reporting of details from either side of mental images.
Representational neglect may represent a failure to generate the left side of mental images.
患有半侧空间忽视的受试者常常表现出表象忽视:无法报告心理视觉图像左侧的细节。这种失败可能反映出生成心理图像左侧的能力受损,或者可能反映出未能探索正常生成的心理图像的左侧。当患有半侧空间忽视的受试者观看图片或绘图时,他们的注意力往往会被吸引到右侧的物体上,从而加剧他们对左侧的探索失败。如果表象忽视代表未能探索正常生成的心理视觉图像的左侧,那么蒙眼应该会改善这种情况,因为蒙眼消除了引人注目的右侧刺激。然而,如果表象忽视代表未能生成心理视觉图像的左侧,那么蒙眼对图像细节报告的影响应该很小。
为了确定这些解释中哪一个是正确的,我们让8名正常参与者和8名患有左侧表象忽视的脑损伤患者想象法国地图,并在2分钟内尽可能多地说出城镇名称。在不同的阶段,参与者在睁眼或蒙眼的情况下执行任务。
正常参与者蒙眼时比睁眼时说出的城镇更多,这表明视觉细节对心理意象有干扰作用。然而,忽视患者蒙眼对心理图像两侧细节报告没有明显影响。
表象忽视可能代表未能生成心理图像的左侧。